| North Colorado Family Medicine | |
|
1600 23rd Ave Greeley CO 80634-6070 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | North Colorado Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 23rd Ave, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Colorado Family Medicine 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | North Colorado Family Medicine 1600 23rd Ave Greeley CO 80634-6070 Ph: (602) 747-4000 |
| NPI Number | 1083642680 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 0941282271 |
|---|---|
| Medicare Enrollment ID | O20040602000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083642680 | NPI | - | NPPES |
| 04021291 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kurt T Dallow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376528851 PECOS PAC ID: 5092799601 Enrollment ID: I20040614000194 |
| Provider Name | Jeffrey S Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781892 PECOS PAC ID: 1557393071 Enrollment ID: I20050906000910 |
| Provider Name | Zachary Alan Flake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946377 PECOS PAC ID: 8123063450 Enrollment ID: I20080124000451 |
| Provider Name | Samuel Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710945738 PECOS PAC ID: 6204886559 Enrollment ID: I20080214000418 |
| Provider Name | Tanya S Unrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710162573 PECOS PAC ID: 2163506924 Enrollment ID: I20080303000832 |
| Provider Name | Teresa M Sieg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962653477 PECOS PAC ID: 3870656929 Enrollment ID: I20090115000270 |
| Provider Name | Wayne S Jeffers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952390114 PECOS PAC ID: 5597802728 Enrollment ID: I20091021000168 |
| Provider Name | David B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962491969 PECOS PAC ID: 5991991093 Enrollment ID: I20101201001043 |
| Provider Name | Herbert D Fahrenholtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811986169 PECOS PAC ID: 4486840469 Enrollment ID: I20101202000629 |
| Provider Name | Mitzi A Mcgarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538159306 PECOS PAC ID: 9931395928 Enrollment ID: I20101202000792 |
| Provider Name | Edwin Risenhoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669421822 PECOS PAC ID: 1759399082 Enrollment ID: I20110106000964 |
| Provider Name | Justin J Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871799726 PECOS PAC ID: 5698955912 Enrollment ID: I20110203000653 |
| Provider Name | Brian A Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265683098 PECOS PAC ID: 2163696956 Enrollment ID: I20111111000621 |
| Provider Name | Erin Inglis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174645238 PECOS PAC ID: 6901093244 Enrollment ID: I20111130000149 |
| Provider Name | Samuel W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336407758 PECOS PAC ID: 3173755840 Enrollment ID: I20140514001598 |
| Provider Name | Colleen M Dupuis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356661011 PECOS PAC ID: 9335369776 Enrollment ID: I20141006002393 |
| Provider Name | Tracy L Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518338599 PECOS PAC ID: 4587965447 Enrollment ID: I20151217001891 |
| Provider Name | Asa F Ware |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275979098 PECOS PAC ID: 6800029794 Enrollment ID: I20160524000530 |
| Provider Name | Amanda B Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316383136 PECOS PAC ID: 7315170420 Enrollment ID: I20160827000130 |
| Provider Name | Amy C Jochims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013328483 PECOS PAC ID: 8820218985 Enrollment ID: I20160920001478 |
| Provider Name | Allison J Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801232624 PECOS PAC ID: 7618109174 Enrollment ID: I20161201001716 |
| Provider Name | Lynn Bellmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053630913 PECOS PAC ID: 6608908413 Enrollment ID: I20170201002536 |
| Provider Name | Joshua Lee Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437442035 PECOS PAC ID: 0345467072 Enrollment ID: I20170418000521 |
| Provider Name | Elizabeth J Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827974 PECOS PAC ID: 4385901842 Enrollment ID: I20171208000874 |
| Provider Name | Jessica Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942727888 PECOS PAC ID: 3173883741 Enrollment ID: I20180131001530 |
| Provider Name | Brenda R Campos-spitze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982015350 PECOS PAC ID: 3072734797 Enrollment ID: I20180628000767 |
| Provider Name | Michael J.l. Bradfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588044093 PECOS PAC ID: 0840508370 Enrollment ID: I20181004000820 |
| Provider Name | Alexandra Lessem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735634 PECOS PAC ID: 5092059154 Enrollment ID: I20181130002226 |
| Provider Name | David Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154333847 PECOS PAC ID: 2668436056 Enrollment ID: I20190702002533 |
| Provider Name | Utsav Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326426628 PECOS PAC ID: 4082926407 Enrollment ID: I20191011000533 |
| Provider Name | Michael Renecle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902393721 PECOS PAC ID: 5890040877 Enrollment ID: I20191227002053 |
| Provider Name | Briana Rose Money |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740716372 PECOS PAC ID: 0840557922 Enrollment ID: I20200107001302 |
| Provider Name | Christine Litton Baron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952931123 PECOS PAC ID: 5698102051 Enrollment ID: I20200224002422 |
| Provider Name | Michele Alba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184006397 PECOS PAC ID: 1557626298 Enrollment ID: I20200730000467 |
| Provider Name | Laura Luehr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922214824 PECOS PAC ID: 2860672789 Enrollment ID: I20201215003419 |
| Provider Name | Alba Cristina Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730714056 PECOS PAC ID: 6305259144 Enrollment ID: I20210115000840 |
| Provider Name | Teuta N Shemshedini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760774178 PECOS PAC ID: 9133413727 Enrollment ID: I20210316002578 |
| Provider Name | Magdalena Reinsvold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851821151 PECOS PAC ID: 0446671036 Enrollment ID: I20210821000064 |
| Provider Name | Kevin Fulford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063594612 PECOS PAC ID: 1355421173 Enrollment ID: I20210824001821 |
| Provider Name | Caitlin Ann Wojciehoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346696556 PECOS PAC ID: 1557786092 Enrollment ID: I20210825000666 |
| Provider Name | Elissa Test Serapio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508209669 PECOS PAC ID: 1254623200 Enrollment ID: I20211112000125 |
| Provider Name | Jayme Lee George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366188096 PECOS PAC ID: 1557742277 Enrollment ID: I20220713000116 |
| Provider Name | David Soll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083601199 PECOS PAC ID: 8628057114 Enrollment ID: I20230208002080 |
| Provider Name | Glenn Maas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417393646 PECOS PAC ID: 1355649781 Enrollment ID: I20230526000523 |
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